Low BP, low HR in rest, SOB in immediately exertion

[Yvonne]

Susan/ Dr. Fett/ anybody?

Since my last Coreg increase (6 weeks ago), my BP and HR drop in rest (BP 80-90/50-60, HR 50-60). The moment I start exertion I feel SOB for a short period and it feels like my heart has to work quite much. I feel a bit hyper and sometimes my lips turn blue. After a while this dissapears and I feel normal. I don't have problems with exertion I start on a slow pace and I can walk for one hour, so I think it is all caused by my beta-blocker. Will my body adjust to this over time?

By the way I use now 18,75 mg Coreg, twice a day.

And of course Happy Eastern to all of you!!

[marissar]

I done the same thing. They thought I was going back into heart failure but upon an emergency echo it was found that my heart was recovering and that the meds were becoming to much. Maybe that's whats going on for you. That would be good news!!!!

[JAMESFETT]

It's a tricky business increasing or decreasing medications once there is an equilibrium established with the previous doses. It does require time and close coordination with your doctors. If the step-up or step-down gives too many symptoms, one can always retreat to the previous dose and titrate up or down at a slower pace with smaller changes at one time. When we increase doses we are always looking for the maximum benefit with tolerable or no side-effects.

James